Individual
KHALIL FOUAD BEYDOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 966-0463
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02007136A
IN
207RP1001X
Pulmonary Disease Physician
02007136A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/04/2023
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